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Review ArticleSystematic Review

Interventions to Improve Influenza and Pneumococcal Vaccination Rates Among Community-Dwelling Adults: A Systematic Review and Meta-Analysis

Darren Lau, Jia Hu, Sumit R. Majumdar, Dale A. Storie, Sandra E. Rees and Jeffrey A. Johnson
The Annals of Family Medicine November 2012, 10 (6) 538-546; DOI: https://doi.org/10.1370/afm.1405
Darren Lau
1Department of Public Health Sciences, University of Alberta, Edmonton, Alberta, Canada
BMSc
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Jia Hu
1Department of Public Health Sciences, University of Alberta, Edmonton, Alberta, Canada
BA
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Sumit R. Majumdar
2Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada
MD, MPH
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Dale A. Storie
3John W. Scott Health Sciences Library, University of Alberta, Edmonton, Alberta, Canada
MLIS
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Sandra E. Rees
4Institute of Health Economics, Edmonton, Alberta, Canada
BScPharm
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Jeffrey A. Johnson
1Department of Public Health Sciences, University of Alberta, Edmonton, Alberta, Canada
4Institute of Health Economics, Edmonton, Alberta, Canada
PhD
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  • For correspondence: jeff.johnson@ualberta.ca

Supplemental Appendixes

Supplemental Appendix A. This appendix contains detailed methods (including the search strategy), and information on excluded and included studies. Exhibit A.1 summarizes recommendations for influenza and pneumococcal vaccination. The search strategy is reported in Exhibit A.2. Exhibits A.3 and A.4 are tables listing excluded studies and reasons for exclusion. Exhibit A.5 contains detailed descriptions of the design, interventions, and results of the included studies. Exhibit B.1 and B.2. These exhibits contain, for each intervention, a forest plot, a table showing each study's performance on the items of the Downs and Black instrument, and a table showing each study's performance on the Cochrane Risk of Bias (ROB) tool. ROB is designed for clinical trials, and was not completed for observational studies. Supplemental Appendix C. Exhibits C.1 and C.3 depict the results of meta-analyses for particular patient outreach strategies for influenza and pneumococcal vaccinations, respectively. Exhibits C.2 and C.4 depict the results of meta-analyses stratified by various team change approaches, for influenza and pneumococcal vaccinations, respectively. Finally, exhibits C.5 (a) and (b) list estimated numbers needed to treat for an additional vaccination, based on pooled intervention odds ratios.

Files in this Data Supplement:

  • Supplemental data: Appendix A - PDF file, 118 pages, 205 KB
  • Supplemental data: Appendix B - PDF file, 40 pages, 5.5 MB
  • Supplemental data: Appendix C - PDF file, 15 pages, 1.4 MB

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